International and Destination Medicine

International Observers Program

The International Observers Program is designed for selected physicians and healthcare professionals who practice and study medicine in other countries and have a strong desire to learn about pediatric medicine with the aim of promoting the improvement of pediatric health care in their home countries.

The program is not designed for physicians pursuing residency positions in the U.S.


Permitted Activities:

  • Attend institutional conferences and lectures
  • Observe clinical activities with the approval of the relevant clinical affiliate
  • Attend rounds

Activities NOT Permitted:

  • Touch or evaluate patients § Administer treatment or render services to patients
  • Participate in decisions concerning patient management; write orders or notes in patient charts; or give orders verbally
  • Participate as a member of a patient’s clinical care team (in observer role only) without the patient’s permission
  • Engage in research


  • A reference letter from the dean of the medical school as proof of professional good standing as a physician or healthcare provider in an internationally approved medical school or medical institution recognized by the program director
  • Proof of compliance with immunization requirements of Texas Children’s
  • Must sign release of liability and have/purchase adequate health insurance
  • Fluency in both written and spoken English
  • Limited to 30 days unless pre-approved

International Observerships are not designed for the following purposes:

  • “Trying out” for clinical training programs
  • Offering opportunities to network for future training or employment
  • Providing activities for curriculum vitaes
  • Providing research or laboratory experience
  • Allowing international observers reportable activity while in the US for other reason


  • All international observers should arrange housing accommodations prior to arrival
  • Visas must be obtained individually
  • Texas Children’s is unable to sponsor any type of visas
  • A Confidentiality Agreement is required to be signed prior to the start of program
  • No funding will be provided by Texas Children’s

Application Process

Download - International Observers Program Application (pdf)

  • All application materials must be submitted at least 90 days in advance of requested start date
  • Applicants must meet all requirements to be considered
  • Completion of application does not guarantee placement
  • Submit application in PDF format via email at cfsmith@texaschildrens.org

Required Documents

  • Curriculum Vitae
  • Recommendation Letter
  • Copy of Diplomas
  • Immunization Records
  • Medical Insurance Card
  • Copy of Passport
  • Copy of Visa